<?php
$Alias = $eMail = $ZIP  = '';
//$captcha = $dtsform = '';
if(isset($this->validation->Alias)) {
	$Alias = $this->validation->Alias;
	$eMail  = $this->validation->eMail;
	$ZIP  = $this->validation->ZIP;
}
$this->load->view('layout/header');
?>

<fieldset><legend accesskey="N" tabindex="1"><?=$title?></legend>
	<form  id="Form" method="post" target="_self">
		<dl>
		<dt><label class="form" for="Alias">Alias:</label></dt>
		<dd><input type="test" name="Alias" value="<?=$Alias?>" size="10" /></dd>
		
		<dt><label class="form" for="eMail">eMail:</label></dt>
		<dd><input type="test" name="eMail" value="<?=$eMail?>" size="25" /></dd>

		<dt><label class="form" for="ZIP">ZIP/Post Code:</label></dt>
		<dd><input type="test" name="ZIP" value="<?=$ZIP?>" size="10" />
		<?=$countryOptions?>
		</dd>

		<dt><label class="form" for="terms">I agree to the Terms:</label></dt>
			<dd><input type="submit" name="register" value="Yes">
			<input type="reset" value="No"></dd>
		</dl>
	</form>
</fieldset>



<?php
$this->load->view('layout/footer');
?>
